2026 NPPES data Pulmonary Disease Physician NPI 1205905569 M.D.
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TIMOTHY SCIALLA, M.D.

Pulmonary Disease Physician in FISHERSVILLE, Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
396
Medicare Part D claims · 64 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
42%
generic claims · 58% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

TIMOTHY SCIALLA, M.D. filed 396 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in FISHERSVILLE, Virginia, prescribing 42% generic.

396
Part D claims, 2023
42%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

TIMOTHY SCIALLA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

396 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

TIMOTHY SCIALLA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about TIMOTHY SCIALLA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 11/08/2006

NPI 1205905569

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

396 73% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Virginia

How Pulmonary Disease Physician compares to other specialties among Virginia providers

Virginia providers

Pulmonary Disease Physician share within Virginia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TIMOTHY SCIALLA, M.D. is a Pulmonary Disease Physician provider practicing in FISHERSVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205905569. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TIMOTHY SCIALLA, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 9 PINNACLE DR STE A03, FISHERSVILLE, VA, 22939, with a listed phone of (844) 472-8711. NPI 1205905569 was issued on 11/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SCIALLA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 396 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $140K in drug spend, split 58% brand-name and 42% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

9 PINNACLE DR STE A03
FISHERSVILLE, VA 22939

Provider Details

NPI 1205905569
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 11/08/2006

Hospital and facility affiliations

Facilities where TIMOTHY SCIALLA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY OF VIRGINIA PHYSICIANS GROUP
FISHERSVILLE, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

TIMOTHY SCIALLA, M.D. — brand share 58.0%
Specialty average (est.)

58% brand-name claims vs 42% generic, on 396 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

396
Total Claims
$140K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
607
Total Day Supply
16,820
Brand vs Generic
58% brand / 42% generic
Brand Drug Cost
$132K
Generic Drug Cost
$8K
Antibiotic Claims
52

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.83
Gender Split
58% female / 42% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Azithromycin
44
Symbicort
Budesonide/Formoterol Fumarate
36
Albuterol Sulfate Hfa
Albuterol Sulfate
34
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
29
Prednisone
28
Breo Ellipta
Fluticasone/Vilanterol
22
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
17
Dulera
Mometasone/Formoterol
16
Incruse Ellipta
Umeclidinium Bromide
16
Montelukast Sodium
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How TIMOTHY SCIALLA, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

TIMOTHY SCIALLA, M.D.'s 396 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as SCIALLA.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TIMOTHY SCIALLA, M.D.'s specialty?
TIMOTHY SCIALLA, M.D. specializes in Pulmonary Disease Physician and practices in FISHERSVILLE, Virginia. Credentials: M.D..
How much does TIMOTHY SCIALLA, M.D. prescribe under Medicare Part D?
In 2023, TIMOTHY SCIALLA, M.D. wrote 396 Medicare Part D claims totaling $140K in drug costs for 64 beneficiaries.
Where is TIMOTHY SCIALLA, M.D. located?
TIMOTHY SCIALLA, M.D. is located at 9 PINNACLE DR STE A03, FISHERSVILLE, VA, 22939. Phone: (844) 472-8711.
What is TIMOTHY SCIALLA, M.D.'s NPI number?
TIMOTHY SCIALLA, M.D.'s National Provider Identifier (NPI) is 1205905569, issued on 11/08/2006.
Does TIMOTHY SCIALLA, M.D. prescribe more brand-name or generic drugs?
TIMOTHY SCIALLA, M.D.'s prescribing is 58% brand-name and 42% generic drugs by claim count, with $132K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does TIMOTHY SCIALLA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TIMOTHY SCIALLA, M.D.'s most frequently prescribed drugs include Azithromycin, Symbicort, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TIMOTHY SCIALLA, M.D. accept Medicare?
TIMOTHY SCIALLA, M.D. appears in CMS Medicare data with 396 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TIMOTHY SCIALLA, M.D.'s credentials?
TIMOTHY SCIALLA, M.D.'s NPI is 1205905569 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology